Overview - Gastroenterology
The Department of Gastroenterology at SPARSH Hospitals specializes in preventing, diagnosing and treating digestive tract and liver disorders. These mainly include conditions involving the pancreas, liver, gallbladder, oesophagus, stomach, small intestine and colon.
We are a tertiary level specialist department offering a comprehensive range of services.
The department also provides a full range of General and Gastro-Intestinal surgeries and features some of the leading Gastroenterologist doctors in the field of General and Minimal Access Surgeries. Surgeries using minimal access techniques are practiced to facilitate faster recovery, avoid complications and ensure easier post-surgical follow-ups.
SPARSH Hospitals, Bengaluru is one of the leaders in laparoscopic and endoscopic surgeries. Equipped with computer-assisted video navigational tools, state-of-the-art facilities in endoscope technology and high precision hand instruments. They perform a broad spectrum of minimal access surgeries and open surgical procedures.
Medical Gastrienterology
Our team comprises highly qualified doctors, technicians and nursing staff. The team uses a
multi-disciplinary approach and works in collaboration with other consultants and specialities such as surgery, radiology and pathology. This ensures a better diagnosis of medical conditions. The department offers a comprehensive range of clinics – IBD clinic, liver clinic, pancreatic clinic and bariatric clinic.
We Specialize in the Treatment of:
- Chronic Liver Disease
- Hepatitis B, C, E, A
- Gastrointestinal Bleeding
- Ascites
- Diarrhoea, IBD, IBS
- Gallstones, Bile Duct Stones
- Cancers of Gallbladder and Bile Duct
- Pancreatitis, Pancreatic Stones, Pseudocyst
- Dysphagia, Cancers, Achalasia Cardia
- GERD, Dyspepsia, Heartburn
- Gas and Constipation
- Ulcer, Varices, Piles
- Anaemia, Vitamin B12 & Iron Deficiency
- Unexplained Weight loss, Fever
- Oral Ulcers
Hepatology
The Department of Gastroenterology and Hepatology was set up at SPARSH Hospitals (Yeshwantpur and Infantry Road) in early 2019 with an aim to provide comprehensive and affordable Gastro and Hepatology care to the surrounding population.
Gastroenterology and Hepatology is a rapidly changing field with technological advances allowing complex procedures to be done in a minimally invasive manner with no or minimal period of hospitalization. The department is manned by a qualified and experienced team of Gastroenterologists and Hepatologists who provide round-the-clock services at all the centers of SPARSH Hospitals. The team of doctors at SPARSH Hospitals are experts in providing the whole range of routine as well as advanced procedures.
Double Balloon Enteroscopy:
The Double Balloon Enteroscopy has allowed visualization of deeper parts of the small intestine and to intervene / treat illness and lesions which earlier needed surgeries.
Intestinal ulcers can be biopsied, strictures dilated and bleeding lesions tackled with a DBE. SPARSH Hospitals is one of the prime centers performing Double Balloon Enteroscopy in Karnataka.
Capsule endoscopy: Capsule endoscopy is a small battery driven camera that is to be ingested and records the entire gastrointestinal tract to be visualized later on a computer. This is a painless way to visualize the entire gastrointestinal tract and help to achieve diagnosis / direct treatment in people with anemia / black stools of unknown origin, unclassified abdominal pain and malabsorption syndromes.
Endoscopic ultrasound: Endoscopic ultrasound helps us to visualize structures in and beyond the intestinal walls. It helps in accurate diagnosis and staging of gastrointestinal tumors,
CBD stones, pancreatitis as well as help us in decompressing – bile duct / pseudocyst and providing pain relief in pancreatitis via celiac plexus neurolysis.
Spy Cholangioscopy: Large sized bile duct stones were earlier subjected to surgical treatment. Nowadays moderate sized stones can be removed after large balloon sphincteroplasty where the papillary opening is dilated with a balloon and large stones can be removed after breaking them with a laser through a spy cholangioscopy.
Spy Cholangioscopy is a special type of endoscope which can be passed into the bile duct, visualize the stones and tumors within as well as break large bile duct stones with the help of laser. This has made management of complex bile strictures (narrowing) and large bile stones easy, safe and can avoid / help plan surgery better.
Manometry & pHmetry: Manometry helps to record muscle contractions and sequential
coordinated muscle activity involved in the act of swallowing and passing motion.
This aids in classifying disorders of swallowing as well as constipation so that directed therapy can be applied.
This is combined with 24-hour pHmetry – where a continuous record of the lower esophageal
pH measurements are taken in people with difficult acidity / GERD. These investigations help us select patients who would respond best to anti-reflux surgery.
Third Space Endoscopy: Third space endoscopy is the newest kid on the block of endoscopy and allows us to remove lesions which were considered as surgical indication. It is used to treat tumors within the wall of the gastrointestinal tract as well as a motility disorder called achalasia cardia.
Large polyps can also be removed endoscopically without the fear of bleeding of perforation (hole) by applying clips or a loop to the base of the polyps. A wide variety of foreign bodies are routinely and safely removed at SPARSH with the help of special hoods and baskets. Bleeding ulcers and varices are routinely managed with clips, bands and thermal coagulation. Argon plasma photocoagulation is applied to control bleeding from abnormal blood vessels and after radiotherapy. Obstruction because of tumors and narrowings are routinely managed with balloon dilation and stents as appropriate.
The department of Gastroenterology & Hepatology is aided by a qualified team of Gastrointestinal surgeons, hepatobiliary and transplant surgeons, oncologist, oncosurgeon and interventional radiologist. This aids the department to handle complex cases and improves patient outcomes and experience.
Innovative Treatments:
- Advanced Laparoscopic Surgery
- Bariatric Surgery and Oncosurgery
- Single Incision Laparoscopic Surgery
- Latest Laparoscopic Equipment
- Excellent Post-operative care and Follow-up
We Specialize in the Treatment of:
- Obesity Surgery
- Cancer Surgery (Hepatobiliary, Pancreatic and Colorectal)
- Advanced Laparoscopic Surgery
- Laparoscopic Cholecystectomy
- Appendectomy
- Hernia Surgery
Bariatric Endoscopy and Nutrition
At SPARSH, we have a team of qualified doctors looking at reversible causes for obesity like endocrine disorders, depression, eating disorders, medications, and acid peptic disease. Our Gastroenterologists, dieticians and physiotherapists analyze your daily routine and food consumption and come up with plans for you to stay healthy.
Innovative Treatments:
- Intragastric Balloon Placement – Non-invasive surgeries
- The Duodenal-Jejunal Bypass Sleeve (EndoBarrier Gastrointestinal Liner)
We Specialize in the Treatment of:
- Obesity related comorbidities – Endocrine disorders – eating disorders
- Acid Peptic disease – Bariatric Endoscopy to assist weight-loss
Surgical Gastroentorology
This department consists of a team of skilled surgeons, who have specialized in the most modern surgical techniques and clinical practices. In addition to tackling all common upper GI symptoms caused by gastroesophageal reflux disease (GERD), gallbladder, pancreas and the small bowel, the department is also equipped to evaluate lower GI symptoms such as constipation, tumors, infective diseases including trauma and more.
Other Treatments
- Piles: Inflamed blood vessels in or around the anus and rectum are called piles. They are very common and usually common in the elderly and pregnant women.
- Anal Fissure: Small tear or scars in the lining of the anus is called anal fissure.
- Fistula: A fistula is an abnormal, narrow passage or duct-like connection that forms between two organs or vessels that are lined with epithelial cells.
- Colonic Polyps: Small growth in the lining of the colon or rectum. This growth could become cancerous at times.
- Colorectal Cancer: Also known as bowel cancer or colon cancer developed from polyps. Symptoms of Colorectal cancer are usually pain in the abdomen and bowel changes.
- Rectal Prolapse: Sliding of part of the wall or the wall of the rectum out of place is called rectum prolapse.
- Diverticular Disease: Diverticular disease occurs due to the aging of muscles that make up the wall of the large intestine. An infection occurs in the tiny pockets of the large intestine. The pockets are called diverticula. These pockets bulge out through weak spots in your large intestine. The pockets can become inflamed or infected.
- Inflammatory Bowel: Ailments that cause prolonged swelling of part or all of the digestive tract. Symptoms associated with inflammatory bowel are diarrhea, abdominal pain, blood in the stools, reduced appetite and unintended weight loss.
- Ulcerative Colitis: Ulcerative colitis is a common form of inflammatory bowel disease. The innermost lining of the large intestine becomes swollen, and ulcers may form on the surface.
